Organization
MEDICAL HEIGHTS DENTAL CENTER, PA
Active
Other names
KELLY HENRICHS DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY HENRICHS DDS (OWNER)
(620) 225-6555
Entity
Organization
Contact information
Practice address
100 W ROSS BLVD STE 2C, DODGE CITY, KS 67801-7217
(620) 225-6555
Mailing address
100 W ROSS BLVD STE 2C, DODGE CITY, KS 67801-7217
(620) 225-6555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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